Washington, D.C. Newsroom, May 7, 2020 / 10:48 am (CNA).- A Catholic nurse said the coronavirus pandemic has presented challenges she has never encountered before—and that a prayer life is critical to get her through her shift.

“If I don’t have my faith in me, I cannot give what I don’t have,” said Maria Arvonio, a registered nurse for almost 40 years and a board member of the National Association of Catholic Nurses. 

As the current night shift supervisor at Virtua Willingboro Medical Center in southern New Jersey—a COVID-19 “hot spot,” she says—Arvonio told CNA she and her colleagues were facing a new kind of disease.

Over the decades she has had experience treating previous diseases including the AIDS epidemic, before which nurses didn’t wear gloves. “I’m still standing—that is God,” she said.

Yet the new coronavirus pandemic is something unprecedented, she admitted. “It’s different in that it appears that no matter what we’re doing, it seems to just multiply,” she said.

As she treats COVID-19 patients, Arvonio told CNA that she leans on her prayer life to lead the team of nurses at the hospital.

“I cannot help those other nurses stand strong, if they look at me and I look afraid. Why would they want us to continue to work? I cannot show fear,” she said.

“I start my job with prayer. Before I even go into the workplace, I’ve already been either doing the rosary with someone, praying ‘Jesus, come and seal me in your most Precious Blood, Blessed Mother help me,’” Arvonio said.

Arvonio was one of several nurses to appear at the White House on Wednesday for National Nurses Day, and told President Trump of her experience treating patients in a COVID-19 “hot zone.” New Jersey has been one of the hardest-hit states by the virus, with nearly 132,000 confirmed cases and more than 8,500 deaths.

Treating the person, and not just the sickness, is part of the mission of nurses, she said at the event. “It’s not just our science, it’s our compassion.”

In an interview with CNA after her White House appearance, Arvonio said she pressed an official close to the President on the need for the administration to push for more access to COVID patients by hospital chaplains.

The U.S. Centers for Disease Control has reportedly been working on guidelines for restarting religious services as states begin to loosen stay-at-home restrictions. CNA reported that on April 28 and 29, officials from the White House domestic policy council and the CDC had discussed the matter with four Catholic bishops who are resuming public Masses.

New Jersey, Arvonio said, has allowed golf courses and liquor stores to be open, but Catholics do not have public Mass. “That’s a problem,” she said.

The spiritual needs of the COVID-19 patients are just as real as their physical needs, she said. As a board member of the National Association of Catholic Nurses, U.S.A., Arvonio says that organization’s mission is critical now more than ever, to emphasize caring for the spiritual needs of patients. 

In the case of one patient who was heading to hospice, a priest could only talk to her remotely, on Zoom.

“She was in tears, an elderly woman worried to leave on hospice because her priest wasn’t there to give her the last rites. This is wrong! This is our right as a Catholic!” Arvonio said.

For some hospitals, chaplains cannot administer the sacramental anointing because of a shortage of personal protective equipment (PPE) available for them. Yet, Arvonio said, she has seen staff wearing PPE in situations where it’s not necessary.

“Look at how we’re using our equipment and give it to the essential personnel, which is the priest,” she said. “We need him in the hospital more than ever.”

“We need to start thinking about getting the spiritual care back to these patients. They need their priests, they need their pastor.”

She has started making care packages for patients to provide something tangible in the absence of the sacraments; for one patient she assembled a care bag with holy water, blessed oil, and plastic rosaries. “I said ‘he’s not alone. God always has somebody for every person,” she said.

CNA Staff, Apr 15, 2020 / 03:30 pm (CNA).- The U.S. Commission on Religious Freedom has called on the Pakistani government to ensure aid for the COVID-19 pandemic is being justly distributed to religious minorities, after receiving reports that aid organizations were barring Christians and Hindus from receiving food assistance.

“These actions are simply reprehensible,” USCIRF Commissioner Anurima Bhargava said in an April 13 statement. “As COVID-19 continues to spread, vulnerable communities within Pakistan are fighting hunger and to keep their families safe and healthy. Food aid must not be denied because of one’s faith. We urge the Pakistani government to ensure that food aid from distributing organizations is shared equally with Hindus, Christians, and other religions minorities,” she said.

According to the commission, recent reports have shown that in Karachi a non-government aid organization, the Saylani Welfare International Trust, has been denying food assistance to Christians and Hindus, telling them that the aid was reserved for Muslims. Pakistan’s state religion is Islam, and around 97 percent of the population is Muslim.

The authorities of Pakistan have consistently failed to implement safeguards on behalf of religious minorities, despite numerous policies in favor of economic and physical protections for members of non-Muslim religions.

For example, the country has promised to provide quotas for employment to ensure that religious minorities are granted equal access to jobs, but so far it has not done so.

Additionally, strict blasphemy laws in the country are reportedly used to settle scores or to persecute religious minorities. While non-Muslims constitute only 3 percent of the Pakistani population, 14 percent of blasphemy cases have been levied against them.

In a recent highly publicized case, Asia Bibi, a Christian mother of five, spent eight years on death row on blasphemy charges after being accused of making disparaging remarks about Muhammad after an argument stemming from a cup of water. Amid strong international pressure, the Pakistan Supreme Court acquitted her in late 2018.

A 2019 report from USCIRF found that Christians and Hindus “face continued threats to their security and are subject to various forms of harassment and social exclusion,” the USCIRF statement said.

The country was also designated by the US Department of State as a “Country of Particular Concern” in December 2018 for its poor religious freedom record.

USCIRF Commissioner Johnnie Moore noted in the April 13 statement that in a recent address to the international community, Prime Minister Imran Khan said that governments in developing countries must work to save people from starvation during the coronavirus pandemic.

Pakistan’s health ministry has reported nearly 6,000 cases of coronavirus in the country of 212 million people as of April 15.

“This is a monumental task laying before many countries. Prime Minister Khan’s government has the opportunity to lead the way but they must not leave religious minorities behind,” he said. “Otherwise, they may add on top of it all one more crisis, created by religious discrimination and inter-communal strife.”

A March 2020 report from USCIRF noted other countries who have had religious freedom problems in dealing with the coronavirus pandemic, including in China, where the virus originated.

According to USCIRF, reports indicated that Chinese authorities forced Uighurs, a Muslim minority that has been forced into concentration camps since 2017, to work in factories to make up for the lack of workers during the country’s coronavirus quarantine. Reports also indicated that some Uighur residents in the city of Ghulja had “limited access to food and local officials have demanded payments in order to bring supplies,” USCIRF noted.

In South Korea, the Shincheonji Church of Jesus, a fringe Christian group that reported already facing “hostility” from mainline Protestants before the pandemic, faced additional pressures and harassment from the government and citizens after a 61-year-old female member of the church - known as Patient 31 - attended a church service with a fever before being diagnosed with coronavirus, and thus spreading the infection to thousands of others.

“The Shincheonji church has faced considerable criticism and even harassment from the South Korean government and society. Although some government measures appeared to be driven by legitimate public health concerns, others appeared to exaggerate the church’s role in the outbreak,” USCIRF reported, adding that members of the church have faced “discrimination at work and spousal abuse because of their affiliation with the church.”

Other countries in which coronavirus is reportedly impacting religious freedoms include Iran, Saudi Arabia, Georgia, Italy and the Vatican (for government-mandated cancellation of religious services), the United Arab Emirates, Georgia, and Tajikistan.

CNA Staff, Apr 23, 2020 / 01:30 pm (CNA).- Iran has sentenced a 21 year-old Christian woman to prison and lashing for “disturbing public order,” after she protested the destruction of a passenger jet by the military.

Mary (Fatemeh) Mohammadi, a 21 year-old Iranian convert to Christianity, was arrested on Jan. 12 after taking part in anti-government protests that followed the shooting down of a passenger jet, Ukrainian Air Flight 752, by the Iranian Revolutionary Guard (IRG).  Iran announced several days after the incident that the IRG mistakenly shot the plane down, resulting in the deaths of all 176 people on board the flight.

In an Instagram post on Wednesday, Mohammadi said her sentence of three months and one day in prison is suspended for one year. She was also sentenced to 10 lashes.

Mohammadi said she has been tortured in prison and suffered “terrible conditions” for “protesting against the slaughter of human beings.” She said she did not appeal her sentence “because the appeal courts have turned into affirmative tribunals.” 

The U.S. Commission on International Religious Freedom (USCIRF) tweeted a condemnation of Mohammadi’s sentencing on Wednesday, saying that “No peaceful activist should be targeted on the basis of their religious beliefs.”

President Trump highlighted her case in his remarks at the National Prayer Breakfast on Feb. 6, saying that she “was seized and imprisoned in Iran because she converted to Christianity and shared the Gospel with others.

U.S. Secretary of State Mike Pompeo also discussed Mohammadi’s case in a Feb. 12 interview with Tony Perkins on Washington Watch. Perkins is also the chair of USCIRF.

Pompeo said the U.S. was “deeply concerned” of reports of Mohammadi’s arrest, and said she was “targeted by the regime because she made the choice to convert to Christianity.”

According to the All Party Parliamentary Group for International Freedom of Religion or Belief, Mohammadi was “physically and emotionally abused during her arrest and transfer to Qarchak prison,” and was questioned about her faith at her hearing.

Correction: This article originally stated that Mohammadi was one of a group of survivors of religious persecution who met with President Trump last July at the White House, as reported in the Christian Post. It was a different Iranian Christian, Dabrina Bet Tamraz, who met with Trump, not Mohammadi.

After listening to the Gospel a self-proclaimed atheist encouraged Christians to go tell others this Good News.

A Jewish man is surprised to learn that hallelujah is a Hebrew word in the Scriptures.

CNA Staff, May 4, 2020 / 11:45 am (CNA).- Modern society is formulating an “anti-Christian creed” and punishing those who resist it with “social excommunication,” Benedict XVI has said in a new biography, published in Germany May 4.

In a wide-ranging interview at the end of the 1,184-page book, written by German author Peter Seewald, the pope emeritus said the greatest threat facing the Church was a “worldwide dictatorship of seemingly humanistic ideologies.”

Benedict XVI, who resigned as pope in 2013, made the comment in response to a question about what he had meant at his 2005 inauguration, when he urged Catholics to pray for him “that I may not flee for fear of the wolves.”

He told Seewald that he was not referring to internal Church matters, such as the "Vatileaks" scandal, which led to the conviction of his personal butler, Paolo Gabriele, for stealing confidential Vatican documents. 

In an advanced copy of “Benedikt XVI - Ein Leben” (A Life), seen by CNA, the pope emeritus said: “Of course, issues such as ‘Vatileaks’ are exasperating and, above all, incomprehensible and highly disturbing to people in the world at large.”

“But the real threat to the Church and thus to the ministry of St. Peter consists not in these things, but in the worldwide dictatorship of seemingly humanistic ideologies, and to contradict them constitutes exclusion from the basic social consensus.”

He continued: “A hundred years ago, everyone would have thought it absurd to speak of homosexual marriage. Today whoever opposes it is socially excommunicated. The same applies to abortion and the production of human beings in the laboratory.”

“Modern society is in the process of formulating an ‘anti-Christian creed,’ and resisting it is punishable by social excommunication. The fear of this spiritual power of the Antichrist is therefore only too natural, and it truly takes the prayers of a whole diocese and the universal Church to resist it.”

The biography, issued by Munich-based publisher Droemer Knaur, is available only in German. An English translation, “Benedict XVI, The Biography: Volume One,” will be published in the U.S. on Nov. 17.

In the interview, the 93-year-old former pope confirmed that he had written a spiritual testament, which could be published after his death, as did Pope St. John Paul II.

Benedict said that he had fast-tracked the cause of John Paul II because of “the obvious desire of the faithful” as well as the example of the Polish pope, with whom he had worked closely for more than two decades in Rome.

He insisted that his resignation had “absolutely nothing” to do with the episode involving Paolo Gabriele, and explained that his 2010 visit to the tomb of Celestine V, the last pope to resign before Benedict XVI, was “rather coincidental.” He also defended the title “emeritus” for a retired pope.

Benedict XVI lamented the reaction to his various public comments since his resignation, citing criticism of his tribute read at the funeral of Cardinal Joachim Meisner in 2017, in which he said that God would prevent the ship of the Church from capsizing. He explained that his words were “taken almost literally from the sermons of St. Gregory the Great.”

Seewald asked the pope emeritus to comment on the “dubia” submitted by four cardinals, including Cardinal Meisner, to Pope Francis in 2016 regarding the interpretation of his apostolic exhortation Amoris laetitia.

Benedict said that he did not want to comment directly, but referred to his last general audience, on Feb. 27, 2013.

Summing up his message that day, he  said: “In the Church, amid all the toils of humanity and the confusing power of the evil spirit, one will always be able to discern the subtle power of God's goodness.”

“But the darkness of successive historical periods will never allow the unadulterated joy of being a Christian ... There are always moments in the Church and in the life of the individual Christian in which one feels profoundly that the Lord loves us, and this love is joy, is ‘happiness’.”

Benedict said that he treasured the memory of his first meeting with the newly elected Pope Francis at Castel Gandolfo and that his personal friendship with his successor has continued to grow.

Author Peter Seewald has conducted four book-length interviews with Benedict XVI. The first, “Salt of the Earth,” was published in 1997, when the future pope was prefect of the Vatican Congregation for the Doctrine of the Faith. It was followed by “God and the World” in 2002, and “Light of the World” in 2010.

In 2016, Seewald published “Last Testament,” in which Benedict XVI reflected on his decision to step down as pope.

Publisher Droemer Knaur said that Seewald had spent many hours talking to Benedict for the new book, as well as speaking to his brother, Msgr. Georg Ratzinger and his personal secretary, Archbishop Georg Gänswein.

In an interview with Die Tagespost April 30, Seewald said that he had shown the Pope Emeritus a few chapters of the book before publication. Benedict XVI, he added, had praised the chapter on Pope Pius XI’s 1937 encyclical Mit brennender Sorge.
 

 

An adolescent girl with a history of frequent electronic cigarette use of nicotine was hospitalized with severe necrotizing pneumonia. Blood cultures obtained before the administration of empirical broad-spectrum intravenous antibiotics had positive results for the growth of Fusobacterium necrophorum. The pathogen is an uncommon but well-known cause of anaerobic pneumonia with unique features that are collectively referred to as Lemierre syndrome or postanginal sepsis. The syndrome begins as a pharyngeal infection. Untreated, the infection progresses to involve the ipsilateral internal jugular vein, resulting in septic thrombophlebitis with direct spread from the neck to the lungs causing multifocal necrotizing pneumonia. The teenager we present in this report had neither a preceding pharyngeal infection nor Doppler ultrasonographic evidence for the presence of deep neck vein thrombi, leading us to explore alternative mechanisms for her pneumonia. We propose the possibility that her behavior of frequent vaping led to sufficient pharyngeal irritation such that F necrophorum colonizing her oropharynx was inhaled directly into her lungs during electronic cigarette use. Preexisting, but not yet recognized, vaping-related lung injury may have also contributed to her risk of developing the infection. The patient was hospitalized for 10 days. At follow-up one month later, she still became short of breath with minimal exertion.

Pediatric thrombocytopenia has a wide differential diagnosis, and recently, genetic testing to identify its etiology has become more common. We present a case of a 16-year-old boy with a history of chronic moderate thrombocytopenia, who later developed constitutional symptoms and bilateral hand edema with cold exposure. Laboratory evaluation revealed evidence both of inflammation and elevated muscle enzymes. These abnormalities persisted over months. His thrombocytopenia was determined to be immune mediated. Imaging revealed lymphadenopathy and asplenia, and a muscle biopsy was consistent with tubular aggregate myopathy. Ophthalmology evaluation noted photosensitivity, pupillary miosis, and iris hypoplasia. Genetic testing demonstrated a pathogenic variant in STIM1 consistent with autosomal dominant Stormorken syndrome. Our case is novel because of the overlap of phenotypes ascribed to both gain-of-function and loss-of-function pathogenic variants in STIM1, thereby blurring the distinctions between these previously described syndromes. Pediatricians should consider checking muscle enzymes when patients present with thrombocytopenia and arthralgia, myalgia, and/or muscle weakness. Our case highlights the importance of both multidisciplinary care and genetic testing in cases of chronic unexplained thrombocytopenia. By understanding the underlying genetic mechanism to a patient’s thrombocytopenia, providers are better equipped to make more precise medical management recommendations.

Adolescent use of electronic cigarettes (e-cigarettes) has increased dramatically, with younger and nicotine-naive adolescents starting to use these devices and use them more frequently than combustible cigarettes. In emerging evidence, it is shown that e-cigarettes are not effective in helping adult smokers quit and that youth using e-cigarettes are at risk for becoming nicotine dependent and continuing to use as adults. Important gaps in our knowledge remain regarding the long-term health impact of e-cigarettes, effective strategies to prevent and reduce adolescent e-cigarette use, and the impact of provider screening and counseling to address this new method of nicotine use.

A Fin24 reader looking to invest in a living annuity, was shocked to find that she would have to pay fees of up to R110 000 per annum. She wants to know if there are other options. An investment expert responds.

A Thousand Moons

Andy Lowndes, music detective for dementia charity Playlist for Life

A look at how racism is being tackled in the Former Yugoslav Republic of Macedonia.

Sir Trevor Brooking hails a special second annual UEFA Grassroots Day.

Dear Editor,On May 5, 2020, at about 8:40 am, I went completely berserk in the Scotiabank Liguanea Branch.I was astonished by my behaviour, to say the least, as this is the first time in the history of my existence that I had behaved in such a manner. I never used curse words. Thus, I have narrowed down my conduct to a moment of insanity.

The ingenuity of Scotland’s independent food sector, and its determination to keep feeding us in these testing circumstances, is remarkable. Restaurants and cafés have gone down the takeaway route, small artisan suppliers who lost overnight all their catering customers have rapidly reconfigured their business around home delivery. Farmers who previously struggled to attract supermarket shoppers have never been so busy. Farmer’s markets have adapted to sell delivered or collected vegetable b

A BIOTECH veteran has hailed a Glasgow firm that claims to have discovered two separate potential treatments for Covid-19 patients for use before they are put on ventilators.

Both the AFT and the NEA vowed to engage their members more deeply this year in deciding who to back for the White House. How well have they done?

The comments come at a time when more foreign-born black people live in the United States than at any time in history—and many of the residents are children enrolled in the nation's K-12 public schools.

The former teacher, principal, and school superintendent became one of the most influential members of Congress on education policy during his 13 terms in the House.

Taking differentiation to mean "everything all the time" isn’t a sustainable model, warns English teacher Chad Towarnicki.

A five-part series on mistakes made by school administrators is wrapped-up today with commentaries from Dr. Lynell Powell, Stuart Ablon, Alisha Pollastri, Diane Mora and many comments from readers

A textbook is no longer enough in many classrooms, writes Dan McDowell, but finding the right OER materials can be tricky.

Marc Tucker explores the critical importance of trust in successful education systems and how trust was lost in U.S. education.

Spain forward and UEFA ambassador Verónica Boquete was on hand at the women's Under-16 development tournament in Zagreb to support Croatia's promotion of the female game.

There are five key values to consider when separating campaign rhetoric from how a candidate would actually govern, writes Robert Feirsen.

Both the AFT and the NEA vowed to engage their members more deeply this year in deciding who to back for the White House. How well have they done?

It has been well documented that exposure to tobacco marketing is a risk factor for smoking initiation among youth. However, few studies have tested the specificity of this association.

This study extends findings from other studies and shows (from a longitudinal design) that exposure to cigarette advertising is significantly associated with youth smoking initiation, whereas exposure to advertising for other commercial products is not. (Read the full article)

The standard initial management for infants and children with acute pyelonephritis is intravenous antibiotic treatment.

Our results support the use of an oral cefixime treatment of initial episodes of acute pyelonephritis involving a gram-negative bacteria strain in children aged 1 month to 3 years who are without urological abnormalities and without clinical hemodynamic impairment. (Read the full article)

Comprehensive home visits conducted by Community Health Workers including environmental remediation and office-based nurse case management improve asthma outcomes.

Implementation of a comprehensive quality improvement program as part of enhanced care of pediatric asthma patients with a history of hospitalizations or emergency department visits can improve health outcomes and be cost-effective as well as reduce health disparities. (Read the full article)

Early administration of oral corticosteroids is essential for children presenting to emergency departments with moderate to severe acute asthma exacerbations, because subsequent admission need is directly related to time to receipt of systemic steroids, yet delays to administration remain long.

A medical directive allowing nurse initiation of oral corticosteroids before physician assessment was associated with improved quality and efficiency of care provided in the pediatric emergency department by ensuring implementation of evidence-based practice. (Read the full article)

Prone sleep, bed-sharing, maternal smoking during pregnancy, and prematurity increase the risk of sudden infant death syndrome. The sudden infant death syndrome rate initially declined dramatically after the initiation of the US Back-to-Sleep campaign in 1994, but subsequently plateaued.

The risk profile has changed since the Back-to-Sleep campaign; the prevalence of simultaneous risks has remained consistent. Intrinsic and extrinsic risks provide unification into 1 underlying triple-risk model and insights into potential underlying mechanisms. (Read the full article)

Data suggest that delivery at high-volume, high-technology hospitals reduces neonatal mortality. No study has examined other complications or compared the effects in multiple states by using a study design to control for unmeasured differences in case mix.

The survival benefit to delivering at a high-level NICU between 1995 and 2005 is larger than previously reported and varies between states. The survival benefits affect both extremely and moderately preterm infants. Complication rates were similar between hospital types. (Read the full article)

Macromastia is associated with severe physical and emotional symptoms and negatively impacts health-related quality of life in adult women. Reduction mammaplasty is the most effective treatment for adults. Little is known regarding the impact of macromastia during adolescence.

Adolescents with macromastia have impaired health-related quality of life, lower self-esteem, more breast-related symptoms, and are at higher risk for disordered eating in comparison with their peers. These negative health outcomes have implications for early intervention in this patient population. (Read the full article)

Critics argue that pediatric research without the potential for clinical benefit treats children as mere means to benefit others. Yet, there are no data to assess whether adolescents who participate in research, or their parents, agree with this view.

Respondents felt that by participating in research the adolescents were making important contributions to help others, and the adolescents felt proud to be doing so. These findings support the view that nonbeneficial pediatric research involves a type of charitable activity. (Read the full article)

Bisphenol A (BPA) is an environmental endocrine disruptor that can leach from polycarbonate plastics and epoxy resins, leading to widespread exposure. Fetal and early postnatal periods are particularly vulnerable to exposure to BPA.

This study identified medical devices as a potential source of exposure to BPA among premature infants in the NICU, even when efforts to reduce polycarbonate plastics were taken. (Read the full article)

Impaired visual development has been reported in infants born to mothers prescribed methadone in pregnancy. Immature visual evoked potentials have been reported in this population, but data were confounded by gestation, growth restriction, and illicit drug use.

Visual evoked potentials are small and immature in infants exposed to methadone and other drugs of misuse in utero. These changes are independently associated with methadone exposure and persist after controlling for gestation, socioeconomic deprivation, alcohol consumption, and cigarette smoking. (Read the full article)

Among adolescents younger than 15, 18% have had sex and 16 000 pregnancies occur annually; among those aged 15 to 17, 30% have had sex and 252 000 get pregnant. Information on the youngest adolescents has not been previously published.

Sexual activity and pregnancy are rare among 10-, 11-, and 12-year-olds, and sex is more likely to be nonconsensual. This arguably represents a different public health issue than sex among older teens, who have a greater need for contraception. (Read the full article)

Studies have highlighted a lack of patient awareness of potential increased cancer risks associated with computed tomography (CT) scans in adult patients and in nonurgent settings. However, little is known about parental awareness of these risks in an emergency setting.

Approximately half of parents were aware of the potential cancer risks from CT scans in an emergency setting. Although risk disclosure moderately reduced willingness to proceed with recommended testing, almost all parents preferred an informed discussion before CT imaging. (Read the full article)

Respiratory syncytial virus (RSV) infection is a leading cause of hospitalization among infants. Most estimates of RSV hospitalization rates are imprecise, having been calculated by using retrospective discharge diagnosis data and stratified age groups no narrower than 6 to 12 months.

Prospective, population-based surveillance data for infants hospitalized with laboratory-confirmed RSV infection were combined with birth certificate information to yield more precise age-specific hospitalization rates. These data should help determine priorities for the use of existing and future RSV prophylaxis strategies. (Read the full article)

Childhood interstitial lung diseases occur in a variety of clinical contexts and are associated with high morbidity and mortality. Advances in the understanding of disease pathogenesis and use of standardized terminology have facilitated increased case ascertainment.

This study demonstrates that cases of newly described forms of childhood interstitial lung diseases likely occur at all children’s hospitals. With advances in genetic testing and recognition of imaging patterns, a significant portion of cases are identifiable with noninvasive evaluations. (Read the full article)

Some studies suggest a contribution of environmental exposures such as pesticides to risk of hypospadias, whereas others do not. One of the challenges that has limited current knowledge is the lack of detailed exposure data.

This study examined a more detailed assessment of exposure to pesticides than previous studies. Exposure assignments, whether to groups of chemicals, specific chemicals, or a composite involving a number of chemicals, showed a general lack of association with hypospadias. (Read the full article)

Certain characteristics of the sleep environment increase the risk for sleep-related, sudden, and unexplained infant death. These characteristics have the potential to generate asphyxia. The relationship between the deaths occurring in these environments and neurochemical abnormalities in the brainstem that may impair protective responses to asphyxia is unknown.

We report neurochemical brainstem abnormalities underlying cases of sudden infant death that are associated with and without potential asphyxial situations in the sleep environment at death. The means to detect and treat these abnormalities in infants at risk are needed. (Read the full article)

The demand for donor kidneys for transplantation exceeds supply. En bloc kidney transplantation and donation after determination of circulatory death from pediatric donors increases the potential donor pool.

Newborn infants undergoing elective withdrawal of life support in the NICU are a previously unrecognized source of potential kidney donors. (Read the full article)

Down syndrome is an independent risk factor for severe respiratory syncytial virus infection and subsequent hospitalization.

This observational study suggests that immunoprophylaxis may reduce respiratory syncytial virus-related hospitalization by 3.6-fold (95% confidence interval, 1.5–8.7) in children with Down syndrome overall. (Read the full article)

Several experimental and observational studies reveal an association between exposure to alcohol consumption in movies and youth drinking, but little is known about the effect of such exposure on drinking onset among low-risk adolescents.

In a longitudinal study, exposure to alcohol consumption in movies was associated with drinking initiation in a sample of adolescents from 6 European countries who had never drunk alcohol and were attitudinally nonsusceptible to future use at the time of exposure. (Read the full article)

Compared with their peers, pediatric residents who report exposure to community settings anticipate greater future community involvement at the end of training. The impact of community pediatrics training on actual future community involvement is not known.

Pediatricians exposed to enhanced community pediatrics training during residency report greater participation in community activities and greater related skills than their peers nationally. (Read the full article)

In HIV-infected children, decisions to start antiretroviral therapy must weigh immunologic benefits against potential risks. Current guidelines recommend using CD4 percentage and age when deciding to start treatment. Population-level effects of these factors on immunologic recovery are unknown.

Starting antiretroviral therapy at higher CD4 percentages and younger ages maximizes potential for immunologic recovery. However, not all benefits are sustained, and viral failure may occur. Our results help clinicians better weigh immunologic benefits against viral failure risks. (Read the full article)

Restrictive feeding by parents is associated with poorer eating self-regulation and increased child weight status. However, this association could be due to confounding home environmental or genetic factors that are challenging to control.

Differential maternal restrictive feeding is associated with differences in twins' caloric compensation and BMI z score. Controlling for the shared home environment and partially for genetics, these findings further support a true (ie, unconfounded) association between restriction and childhood obesity. (Read the full article)